Provider Demographics
NPI:1245240613
Name:JARET, KATHE A (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHE
Middle Name:A
Last Name:JARET
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:PEACE DALE
Mailing Address - State:RI
Mailing Address - Zip Code:02879-2176
Mailing Address - Country:US
Mailing Address - Phone:401-789-8244
Mailing Address - Fax:
Practice Address - Street 1:23 NORTH RD
Practice Address - Street 2:
Practice Address - City:PEACE DALE
Practice Address - State:RI
Practice Address - Zip Code:02879-2176
Practice Address - Country:US
Practice Address - Phone:401-789-8244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI401103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI61-00184OtherUNITED HEALTH PROVIDER #
RI9003551OtherEDS PROVIDER #
RI1021280OtherBEACON HEALTH #
RI143452OtherMAGELLAN PROVIDER #
RI3551-6OtherRI BLUE CROSS #
RI205195OtherBLUE CHIP #